Zubek László, Szabó Léna, Gál János, Lakatos Péter László, Papp János, Elo Gábor
Semmelweis Egyetem, Általános Orvostudományi Kar Aneszteziológiai és Intenzív Terápiás Klinika Budapest Kútvölgyi út 4. 1125.
Orv Hetil. 2010 Nov 28;151(48):1976-82. doi: 10.1556/OH.2010.28935.
Double balloon enteroscopy needs sufficient sedation technique, because the examination is uncomfortable and lengthy. The most prevalent sedation method is conscious sedation world-wide.
To demonstrate that double balloon enteroscopy examination can also be safely performed in general anesthesia with intubation and that this method can be an option in patients with severe multiple morbidities.
A retrospective evaluation of intubation narcosis in patients undergoing double balloon enteroscopy was performed at the 1st Department of Internal Medicine, Semmelweis University. Patients were grouped based on gender, age and physical state. Anesthesia records included the duration of anesthesia, the quantities of medications used and anesthesia-related complications.
Data obtained from 108 general anesthesia cases were analyzed. There were no permanent anesthesia-related complications in the period examined. The most frequent side effects of anesthesia were hypotension (30.55%), desaturation (21.29%), and apnea (17.59%). These complications were significantly more frequent among patients with multiple morbidities; however, their incidence was not proportional with the quantity of the medications used or the duration of anesthesia.
The findings confirm that the most important advantage of general anesthesia over other methods is that it ensures stable airways, which makes it easy to counter-act frequent complications such as desaturation, apnea and aspiration. The number of complications of anesthesia was higher among patients with multiple morbidities, but these complications could be easily overcome in all patient groups. Therefore, this method is highly recommended for patients with multiple morbidities. Intubation narcosis can be also a viable option of conscious sedation for patients without co-morbidities.
双气囊小肠镜检查需要足够的镇静技术，因为该检查会让人不适且耗时较长。全球最普遍的镇静方法是清醒镇静。
证明双气囊小肠镜检查也可在插管全身麻醉下安全进行，且该方法可作为患有严重多种疾病患者的一种选择。
在塞梅尔维斯大学第一内科对接受双气囊小肠镜检查的患者进行插管麻醉的回顾性评估。患者根据性别、年龄和身体状况分组。麻醉记录包括麻醉持续时间、所用药物剂量和与麻醉相关的并发症。
分析了108例全身麻醉病例的数据。在所检查期间未出现与麻醉相关的永久性并发症。麻醉最常见的副作用是低血压（30.55%）、血氧饱和度下降（21.29%）和呼吸暂停（17.59%）。这些并发症在患有多种疾病的患者中明显更常见；然而，其发生率与所用药物剂量或麻醉持续时间不成比例。
研究结果证实全身麻醉相对于其他方法最重要的优势在于它能确保气道稳定，这使得容易应对诸如血氧饱和度下降、呼吸暂停和误吸等常见并发症。患有多种疾病的患者麻醉并发症数量较高，但所有患者组的这些并发症都可轻松克服。因此，强烈推荐该方法用于患有多种疾病的患者。对于无合并症的患者，插管麻醉也可以是清醒镇静的一种可行选择。
